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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 22 of 22. This is the beginning of the thread.
Posted by streetsk8er794 on October 14, 2008, at 22:04:44
Hello all.
I started taking stims to help with my ADHD, and of course they helped emmensely. But, they made my OCD unbearable.
I've tried Nardil in the past, so my doc decided to lower my stim dose to 5 mg dex, three times a day; and titrate me up on Nardil. Also I take .5 mg klonopin twice a day. So far, I've been on Nardil for 2 weeks at 30 mg, and I feel it working already. Only, problem is, Im getting a big case of the "f-its."If something needs to get done, I put it off, which is why I started the stims in the 1st place. So its like I'm back at square one.
My doc says we can increase the dex to 10 mg, three times a day, but to be honest, dex cause me to break out severely, and I hate the crash at the end of the day.
I would like to try Daytrana (since it basically lasts till you take the damn thing off! I know, I was on it), but the only documented stims I've seen taken with Nardil is Dexedrine.Would daytrana be a viable alternative to the dex? And what would 10 mg dex, three times a day be equivalent to in daytrana dosage?
Please, I really need your help guys. I went from being top salesman at my job, to being one of the worst now that I can't think straight due to lack of stimulation.
Posted by Phillipa on October 14, 2008, at 23:36:59
In reply to Nardil and the f-its..., posted by streetsk8er794 on October 14, 2008, at 22:04:44
Boy I sure hope one of the experts sees this and responds. Have you called you doc you may have to it's so important not to do anything to cause a hypertensive crisis as you know. Good luck. Love Phillipa
Posted by streetsk8er794 on October 15, 2008, at 8:44:26
In reply to Re: Nardil and the f-its... » streetsk8er794, posted by Phillipa on October 14, 2008, at 23:36:59
Trust me Phillipa, I know! I'm hoping too!
But, I have called my p-doc, and got a secretary, and she told me to leave a message, which I did. The doc called me back while I was working and could pick up. I called him back, and couldnt get anyone ever since.
My next appt isnt for 2 weeks, so I kind of need some advice.
Maybe the Nardil is making the Klonopin "SUPER STRONG" sp that its negating my stims even more?Just speculation, but I do need some good input from some experts. When I say that, its not like I dont know what Im talking about. My friends call me a walking psychopharmacologist. I've been on Nardil before, and I know the dangers of a hypertensive crisis. I also know that Nardil and stims can be wonderful together if taken carefully.
Sometimes even experts need a helping hand...
Posted by azalea on October 15, 2008, at 11:06:12
In reply to Nardil and the f-its..., posted by streetsk8er794 on October 14, 2008, at 22:04:44
Daytrana is a transdermal formulation of methylphenidate. There is a letter to the editor describing oral methylphenidate in combination with phenelzine (Nardil). I've pasted the text below.
I hope this provides some useful information. Keep in mind the case below was in-patient with careful monitoring. Your pdoc may or may not be comfortable utilizing a similar combination.Coadministration of phenelzine and methylphenidate for treatment-resistant depression
Ann Pharmacother. 2004 Mar;38(3):508. Epub 2004 Jan 23.
Shelton Clauson A, Elliott ES, Watson BD, Treacy J.TO THE EDITOR: Several strategies have been used in attempts to manage treatment-resistant depression. Some strategies include lithium augmentation, liothyronine, and lamotrigine. A combination that has shown efficacy is a monoamine oxidase inhibitor (MAOI) with a psychostimulant. When combined with an MAOI, which inhibits neuroamine catabolism, psychostimulants have been associated with severe toxicity including hypertensive crisis and intracranial hemorrhage, severe hyperthermia, seizures, other central effects, and death.
We report a case where combination therapy with phenelzine and methylphenidate were used effectively and safely.
Case Report. A 31-year-old white woman was admitted to an inpatient mental health unit secondary to suicidal ideations. Her depression symptoms upon admission included hopelessness, insomnia, reduced appetite, reduced concentration and energy, psychomotor slowing, and frequent crying spells. Her recurrent depression had not substantially responded to >50 electroconvulsive therapy treatments (initially with good success in 1996) or methylphenidate augmentation of a novel antidepressant. However, the methylphenidate had aided her concentration at that time. The depression also had not responded to monotherapy trials of paroxetine, sertraline, fluoxetine, venlafaxine, bupropion, and mirtazapine. Axis I diagnoses were major depression, recurrent, severe, as well as attention deficit disorder.
On hospital day 1, the patient started phenelzine 15 mg/day. On day 4, the phenelzine dose was increased to 15 mg twice daily. On days 5 through 8, methylphenidate 10 mg/day was initiated and increased by adding 2.5 mg at noon daily. On day 6, since the blood pressure (measured 4 times daily) remained within normal limits, phenelzine was increased to 15 mg 3 times daily. The patient's blood pressure remained normal throughout hospitalization. She reported an episode of dizziness that was transient and did not return. On day 9, the patient reported improvement in mood and was discharged on day 10 due to her financial concerns. Her discharge medications were phenelzine 15 mg 3 times daily and methylphenidate 10 mg in the morning and 7.5 mg at noon. Several months after she was discharged, her outpatient therapist reported that the woman was doing well on this combination and had finished her college degree.
Discussion. There are several case reports that show efficacy and safety when combining an MAOI with a psychostimulant. Sovner1 reported using tranylcypromine and dextroamphetamine in a patient with treatment-resistant depression. Another report described 32 patients with refractory depression treated with a combination of a psychostimulant (pemoline or dextroamphetamine) and an MAOI.2 Of these patients, 78% experienced at least 6 months of symptom remission and 31% maintained that level.
Due to the potential for serious drug interactions, the combination of an MAOI and a psychostimulant should not be initiated without attempting other, more traditional combinations first and considering patient-specific risk factors.
Footnotes
We dedicate this report to the late Dr. Pio Albert Pol, the treating psychiatrist in this case. His sincere kindness and unwavering commitment to his patients go unparalleled.> Hello all.
>
> I started taking stims to help with my ADHD, and of course they helped emmensely. But, they made my OCD unbearable.
> I've tried Nardil in the past, so my doc decided to lower my stim dose to 5 mg dex, three times a day; and titrate me up on Nardil. Also I take .5 mg klonopin twice a day. So far, I've been on Nardil for 2 weeks at 30 mg, and I feel it working already. Only, problem is, Im getting a big case of the "f-its."
>
> If something needs to get done, I put it off, which is why I started the stims in the 1st place. So its like I'm back at square one.
>
> My doc says we can increase the dex to 10 mg, three times a day, but to be honest, dex cause me to break out severely, and I hate the crash at the end of the day.
> I would like to try Daytrana (since it basically lasts till you take the damn thing off! I know, I was on it), but the only documented stims I've seen taken with Nardil is Dexedrine.
>
> Would daytrana be a viable alternative to the dex? And what would 10 mg dex, three times a day be equivalent to in daytrana dosage?
>
> Please, I really need your help guys. I went from being top salesman at my job, to being one of the worst now that I can't think straight due to lack of stimulation.
Posted by bulldog2 on October 15, 2008, at 15:25:07
In reply to Nardil and the f-its..., posted by streetsk8er794 on October 14, 2008, at 22:04:44
> Hello all.
>
> I started taking stims to help with my ADHD, and of course they helped emmensely. But, they made my OCD unbearable.
> I've tried Nardil in the past, so my doc decided to lower my stim dose to 5 mg dex, three times a day; and titrate me up on Nardil. Also I take .5 mg klonopin twice a day. So far, I've been on Nardil for 2 weeks at 30 mg, and I feel it working already. Only, problem is, Im getting a big case of the "f-its."
>
> If something needs to get done, I put it off, which is why I started the stims in the 1st place. So its like I'm back at square one.
>
> My doc says we can increase the dex to 10 mg, three times a day, but to be honest, dex cause me to break out severely, and I hate the crash at the end of the day.
> I would like to try Daytrana (since it basically lasts till you take the damn thing off! I know, I was on it), but the only documented stims I've seen taken with Nardil is Dexedrine.
>
> Would daytrana be a viable alternative to the dex? And what would 10 mg dex, three times a day be equivalent to in daytrana dosage?
>
> Please, I really need your help guys. I went from being top salesman at my job, to being one of the worst now that I can't think straight due to lack of stimulation.Nardil is serotonin dominant and serotonin can give you that attitude. I would switch to parnate which is a heavier hitter on dopamine which will give you more drive.
Posted by streetsk8er794 on October 15, 2008, at 19:28:31
In reply to Re: Nardil and the f-its..., posted by bulldog2 on October 15, 2008, at 15:25:07
Yes, but Parnate isn't as good as Nardil when it comes to social anxiety/avoidance is it?
BTW, I really think the Klonopin might be doing this. Although I'm only at 1 mg/day, which was half of my original dose, I hear that Nardil greatly potentiates Klonopins effects. Is this true?
Posted by Phillipa on October 15, 2008, at 19:50:32
In reply to Re: Nardil and the f-its..., posted by streetsk8er794 on October 15, 2008, at 19:28:31
Goggle drug checker use the second one down the rest you will figure out it will let you know and Please let us know. Phillipa
Posted by stargazer2 on October 15, 2008, at 22:28:44
In reply to Nardil and the f-its..., posted by streetsk8er794 on October 14, 2008, at 22:04:44
I had a reaction with Nardil and it was with 10 mg of an amphetamine. I had the generic of Adderall and was convinced that it could help my ADD too, since Nardil alone wasn't doing enough.
BTW, I'm still struggling with the combination of depression and ADD. I started with 5 mg and went to 7.5 and had no reaction. At 10 mg, just the one time dose, my BP shot through the roof. So it can happen and at least I could handle it myself, since I have a medical background. I was able to monitor my BP and saw it was over 200, soit was the real deal.
Sometimes there's too many cooks on this board but with the combo Nardil/amphet, you have to be very conservative. I can take 5 mg alone with Nardil but I just saw another doc to ask about Nardil with other stimulants, including Strattera or Provigil and she wouldn't go there at all. And I'm too afraid to quit Nardil completely since it is allowing me to have a life again.
So, Your doc may not have experience with the combination and may not see any problem with increasing the dose of dex to 10, but you may get into the danger zone too. Make sure your doc has done this with others and is not inexperienced with the dreaded combination of Nardil and a stim.
Good luck.
Posted by Phillipa on October 15, 2008, at 23:29:05
In reply to Re: Nardil and the f-its..., posted by stargazer2 on October 15, 2008, at 22:28:44
Stargazer miss you could you write and update? Love Jan
Posted by streetsk8er794 on October 16, 2008, at 11:29:47
In reply to Re: Nardil and the f-its..., posted by stargazer2 on October 15, 2008, at 22:28:44
My doc has never done this combination before. Hell, he only has 3 patients even on Nardil.
BTW Stargazer, I had a reaction on Nardil and Adderall in the past as well. I was on Nardil 90 mg per day, and i took a 20 mg adderall xr (same as your 10 mg ir).
The reason Adderall is a terrible choice for use in MAOI/STIM combo therapy, is that the levo-amphetamine in Adderall releases a lot of adrenaline, which in turn cranks up your blood pressure.
Ritalin and dexedrine on the other hand, are more concentrated on dopamine rather than nor-epinephrine, making them much safer alternatives.
Trust me, I would like to have a doc who knew what he was doing with this combo.... but unfortunately I dont, and Im kind of on my own.
When I was at 10 mg dex, three times per day, I was the top salesman at my store. But, now that I've lowered it to 5 mg, three times per day, I feel no therapeutic effect whatsoever. I feel I must go back to my old dose in order to be productive, but I also know I must be careful. Maybe I'll even order some nifedipine 5 mg caps online.
Posted by stargazer2 on October 16, 2008, at 18:01:42
In reply to Re: Nardil and the f-its..., posted by streetsk8er794 on October 16, 2008, at 11:29:47
So you think dexedrine and Nardil is a safer combination for me?
I may ask my doc tomorrow about this but I'm sure he will just give me that look that says either way I am playing with a combination he does not feel comfortable prescribing.
I take the generic Adderall with Nardil but it was based on my research and understanding of the risks. He has not prescribed the combination to me. I just had left over amphets from when I was unable to get real Adderall-XR which I was taking in combination with Celexa and Wellbutrin a few years ago.
I have a few Nifedepine left and that is what I used to treat the episode of hypertension from the Nardil/ Amphet combo. I currently only take a tiny amount (5 mg) maybe once or twice a day, that's enough for me but I don't have such a driven job as you do in sales.
Good luck, I know how much of a struggle it is. I have had issues with depression for 20-30 years. It doesn't ever go away but I can now accept it and hopefully always find a treatment (which hasn't always been the case). I lost many jobs over the years due to this illness.
I am the one that thinks my diagnosis is not just depression but also ADD and I have kind of proven it to my doc, by treating it successfully with a stimulant for the past year.
I don't know where I would be (Yes I do) without doing the research and trying things on my own.
There is nothing more profound than getting it right without medical advice. I gave up strictly following my doctors advice after about 20 years of a marginal existence. So I know it pays to try some unconventional treatments.SG
Posted by azalea on October 16, 2008, at 19:58:11
In reply to Re: Nardil and the f-its..., posted by stargazer2 on October 16, 2008, at 18:01:42
Perhaps selegiline might be something to consider if Nardil doesn't work out. Selegiline is an MAOI and is partly metabolized to l-methamphetamine. Emsam (transdermal selegiline) provides lower levels of amphetamine metabolites than the oral formulation.
FYI, selegiline should not be started until 14 days after discontinuing Nardil.
> So you think dexedrine and Nardil is a safer combination for me?
>
> I may ask my doc tomorrow about this but I'm sure he will just give me that look that says either way I am playing with a combination he does not feel comfortable prescribing.
>
> I take the generic Adderall with Nardil but it was based on my research and understanding of the risks. He has not prescribed the combination to me. I just had left over amphets from when I was unable to get real Adderall-XR which I was taking in combination with Celexa and Wellbutrin a few years ago.
>
> I have a few Nifedepine left and that is what I used to treat the episode of hypertension from the Nardil/ Amphet combo. I currently only take a tiny amount (5 mg) maybe once or twice a day, that's enough for me but I don't have such a driven job as you do in sales.
>
> Good luck, I know how much of a struggle it is. I have had issues with depression for 20-30 years. It doesn't ever go away but I can now accept it and hopefully always find a treatment (which hasn't always been the case). I lost many jobs over the years due to this illness.
>
> I am the one that thinks my diagnosis is not just depression but also ADD and I have kind of proven it to my doc, by treating it successfully with a stimulant for the past year.
>
> I don't know where I would be (Yes I do) without doing the research and trying things on my own.
> There is nothing more profound than getting it right without medical advice. I gave up strictly following my doctors advice after about 20 years of a marginal existence. So I know it pays to try some unconventional treatments.
>
> SG
>
Posted by stargazer2 on October 16, 2008, at 21:58:23
In reply to perhaps selegiline » stargazer2, posted by azalea on October 16, 2008, at 19:58:11
Azalea,
I didn't know that about the breakdown of Emsam. I did try Emsam prior to retrying Nardil. I tried all 3 doses of it and don'think it really helped me at all, but my life has been one big drug trial and tribulation, and improvement is really hard to feel.I did take copious notes on all the meds I have ever taken, it freaks the doctors out when they see it. I don't think any docs take notes like I do, but they do not have the same vested interest that I do in getting well. And I'm not an easy case and is evident from my poor responses to the majority of the AD's I've ever taken.
For now, the combination of Nardil and tiny dose of dextroamphetamine is better than Nardil alone and much better than the other 95% of meds I've tried, but the catch-22 is the inability to really test a stimulant with Nardil. The last MD I saw would not add anything to Nardil, suggested VNS, which seemed like a long shot, and also suggested I go to Boston to see the great and powerful men of Harvard and McLean Hospital, whose article on the combination of MAO's and stimulants, fueled my interest in the combination.
Her only other suggestion was to come off Nardil and try another AD which could be combined with an ADD med to test my theory of the recalcitrant nature of my depression, being related to the impact of ADD symptoms, as well as depressive ones.
I have a belief that perhaps my depression
originated in ADD, and although my doctor has said no, this is the best and longest response I have had recently. Also, I did have another fairly good response to Celexa, wellbutrin and adderall, agan the stim factor must account for a large part of my response.Thanks for your help, Azalea. We are all in this together.
SG
Posted by streetsk8er794 on October 16, 2008, at 23:20:56
In reply to Re: perhaps selegiline, posted by stargazer2 on October 16, 2008, at 21:58:23
I have massive amounts of social anxiety, as well *ss ADD and OCD, and the stims help the 1st two tremendously. But they make my OCD freakin unbearable; which is why I have high hopes for this combo.
I'm only at 45 mg Nardil.... Im movin to 60 mg in one week. The 5 mg dex three times a day may be more effective once theres more MAO Nardil built up in my system.
I guess my real dilemma is whether or not to stay on klonopin, and whether to stick with dex or switch to daytrana, and if I need a higher dose of stim or not.
Posted by bulldog2 on October 17, 2008, at 18:16:50
In reply to Re: Nardil and the f-its..., posted by stargazer2 on October 16, 2008, at 18:01:42
> So you think dexedrine and Nardil is a safer combination for me?
>
> I may ask my doc tomorrow about this but I'm sure he will just give me that look that says either way I am playing with a combination he does not feel comfortable prescribing.
>
> I take the generic Adderall with Nardil but it was based on my research and understanding of the risks. He has not prescribed the combination to me. I just had left over amphets from when I was unable to get real Adderall-XR which I was taking in combination with Celexa and Wellbutrin a few years ago.
>
> I have a few Nifedepine left and that is what I used to treat the episode of hypertension from the Nardil/ Amphet combo. I currently only take a tiny amount (5 mg) maybe once or twice a day, that's enough for me but I don't have such a driven job as you do in sales.
>
> Good luck, I know how much of a struggle it is. I have had issues with depression for 20-30 years. It doesn't ever go away but I can now accept it and hopefully always find a treatment (which hasn't always been the case). I lost many jobs over the years due to this illness.
>
> I am the one that thinks my diagnosis is not just depression but also ADD and I have kind of proven it to my doc, by treating it successfully with a stimulant for the past year.
>
> I don't know where I would be (Yes I do) without doing the research and trying things on my own.
> There is nothing more profound than getting it right without medical advice. I gave up strictly following my doctors advice after about 20 years of a marginal existence. So I know it pays to try some unconventional treatments.
>
> SG
>From what I've read ADD is the primary diagnosis from which when it is untreated other mental maladies may occur such as depression. So it is important to address the add first.
Posted by streetsk8er794 on October 17, 2008, at 21:53:04
In reply to Re: Nardil and the f-its..., posted by bulldog2 on October 17, 2008, at 18:16:50
Today I took 10 mg dex at 10am, 1 pm, and 4 pm, and today was awesome. I had NO social anxiety, NO OCD, lots of focus, and I sold very well at work. Plus, my blood pressure was extremely fine. If anything, it was lower, because my anxiety was zilch.
All I have to do is convince my doc to put me on the 10 mg dex three times per day. I know not to go over that dose, cause THEN there may be some issues. All I know is that this combo IS WORKING WONDERS!!! (10 mg dex TID, not the prescribed 5 mg TID).
Posted by stargazer2 on October 18, 2008, at 20:24:06
In reply to Re: Nardil and the f-its..., posted by bulldog2 on October 17, 2008, at 18:16:50
I always thought that depression is considered the primary diagnosis and ADD is secondary to that. Not sure where I heard that but remembered it. What is your source to treat ADD as the primary diagnosis?
Does it make sense for me to stop Nardil and focus (Not easy with ADD) on getting the ADD treated first and then add in an AD if the depressive symptoms recur. I haven't been off an ADD since 1987 with the exception of a few times I decided myself to clear out my system. Usually the longest off an ADD was 4 months or so. But the time on many AD's was no better than off them.
My life has been one ongoing drug trial. I'm only better now since I have made my own recommendations to my doc and hadmoresuccess for a longer period time than allowing them to make all the suggestions for what meds to try next. Goes to show that the docs aren't always the ones to figure things out, especially in cases of longstanding depression or ADD, that was never diagnosed and treated primary to the depression?
Well it has only been 20 years of figuring this out, most recently treating what I have thought is an ADD component to the depression.
Is there a possibility that all I have is ADD???
That would have been too simple for the high paid psychiatrists to figure out, right?
SG
Posted by bulldog2 on October 19, 2008, at 15:01:18
In reply to Re: Nardil and the f-its..., posted by stargazer2 on October 18, 2008, at 20:24:06
> I always thought that depression is considered the primary diagnosis and ADD is secondary to that. Not sure where I heard that but remembered it. What is your source to treat ADD as the primary diagnosis?
>
> Does it make sense for me to stop Nardil and focus (Not easy with ADD) on getting the ADD treated first and then add in an AD if the depressive symptoms recur. I haven't been off an ADD since 1987 with the exception of a few times I decided myself to clear out my system. Usually the longest off an ADD was 4 months or so. But the time on many AD's was no better than off them.
>
> My life has been one ongoing drug trial. I'm only better now since I have made my own recommendations to my doc and hadmoresuccess for a longer period time than allowing them to make all the suggestions for what meds to try next. Goes to show that the docs aren't always the ones to figure things out, especially in cases of longstanding depression or ADD, that was never diagnosed and treated primary to the depression?
>
> Well it has only been 20 years of figuring this out, most recently treating what I have thought is an ADD component to the depression.
>
> Is there a possibility that all I have is ADD???
>
> That would have been too simple for the high paid psychiatrists to figure out, right?
>
> SGWould never tell you to stop a med. Just that add is usually the first problem to manifest itself when one is a child. If left untreated dedepression often manisfest itself later. Just that untreated add creates so many problems that one often becomes depressed because one's life becomes so chaotic. Read it in an add book years ago.
Posted by azalea on October 19, 2008, at 16:31:56
In reply to Re: Nardil and the f-its..., posted by stargazer2 on October 18, 2008, at 20:24:06
I think it can go both ways. ADD can be secondary to depression or depression can be secondary to ADD. Difficulty concentrating is most definitely a symptom of both depression and ADD. When your mood is good, how is your concentration?
Regardless of which came first, if you have both depression and ADD, high dose oral selegiline might be a good choice. The MAOI activity would treat depression and the amphetamine metabolites would improve concentration and focus. Perhaps something to discuss with your prescribing doc. You would have to do a 2-week washout from Nardil before starting selegiline.
> I always thought that depression is considered the primary diagnosis and ADD is secondary to that. Not sure where I heard that but remembered it. What is your source to treat ADD as the primary diagnosis?
>
> Does it make sense for me to stop Nardil and focus (Not easy with ADD) on getting the ADD treated first and then add in an AD if the depressive symptoms recur. I haven't been off an ADD since 1987 with the exception of a few times I decided myself to clear out my system. Usually the longest off an ADD was 4 months or so. But the time on many AD's was no better than off them.
>
> My life has been one ongoing drug trial. I'm only better now since I have made my own recommendations to my doc and hadmoresuccess for a longer period time than allowing them to make all the suggestions for what meds to try next. Goes to show that the docs aren't always the ones to figure things out, especially in cases of longstanding depression or ADD, that was never diagnosed and treated primary to the depression?
>
> Well it has only been 20 years of figuring this out, most recently treating what I have thought is an ADD component to the depression.
>
> Is there a possibility that all I have is ADD???
>
> That would have been too simple for the high paid psychiatrists to figure out, right?
>
> SG
Posted by Phillipa on October 19, 2008, at 18:19:29
In reply to Re: Nardil and the f-its..., posted by stargazer2 on October 18, 2008, at 20:24:06
Stargazer that could explain why none of the meds worked for you. Can you get tested for it? What was life like in school for you as a kid did you do well and able to concentrate? Love Phillipa
Posted by stargazer2 on October 20, 2008, at 18:47:42
In reply to Re: Nardil and the f-its... » stargazer2, posted by Phillipa on October 19, 2008, at 18:19:29
You know, It was never brought up before and as a child it's hard to remember how my concentration was, but there was time where I thought I was dyslexic and I could never concentrate or read and remember anything.
I usually do not finish projects I start, today never finish books I start and do have trouble concentrating. I guess because I'm not of the hyperactive type, but of the inattentive type that little was done or even thought was abnormal
back then. My doctor never even thought I had it until I read some about it over the past few years. The focus was always on deprssion, never anything else.I know that when I take a stimulant I do not get hyperactive, just more focused and thatis when I started thinking about ADD, as a part of my depression.
It's too bad that this went a good number of years before I could put my finget on it as a compnent of the depression,but I astill think that perhaps untreated ADD has caused me to be depressed,orethan the other way around. This still needsto be fully tested.
Right now, my doc still wants me to stay on Nardil and the low dose of Adderall, which I have taken for several months pretty routinely on the days I work. And my deprssion has stayed at bay on this combo.
The only other thing I want to try would be taking Adderall XR alone, but I'm too afraid to stop Nardil,right now, for fear of depression returning. My depression makes me pretty much non functional and sometimes suicidal.
My doc said we could try this after I have been at my current job for a year, knowing the risk of relapsing, but he did not want me to do that right now and I agreed with him. I do not want to risk that since before my current job, I was unable to work for over a year.
SG
Posted by Phillipa on October 20, 2008, at 20:21:26
In reply to Re: Nardil and the f-its..., posted by stargazer2 on October 20, 2008, at 18:47:42
Stargazer sounds like a good plan since you tolerate the nardil and the two meds are working. Horrah for you!!!! Better late than never. Love Phillipa
This is the end of the thread.
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